NPI | 1003480609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201014092) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-05-18 |
Last Update Date | 2025-02-06 |